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An advanced directive is a legal document that outlines a patient's healthcare preferences if they become unable to make decisions. It can designate a proxy to make decisions on their behalf. This video tutorial discusses when advanced directives are applicable, who should create one, and the four types available. Advanced directives are valid in any medical setting where they are recorded, but healthcare providers can disregard them if they conflict with their conscience, the institution's policies, or accepted healthcare standards. Laws concerning advanced directives differ by state, with some states recognizing the directives from others. Patients can change or revoke their directives at any time.